| NPI | 1447503883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN R 199247-6) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 230) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2018-10-08 |